Clinical Inpatient Pharmacy Technician, Audit & Review

• Conduct post-service audits to ensure billing accuracy
• Analyze billings for consistency with medical records and reimbursement policies
• Perform projects as requested by supervisors
• Prioritize work and coordinate activities to ensure timely record reviews and audits
• Evaluate and interpret drug administration and treatment information when needed
• Ensure all work meets corporate standards and complies with federal, state, and accreditation regulations
• Maintain organized reference documents and follow established policies and procedures
• Meet production requirements and quality standards for all assigned work
• Support department efficiency through flexibility and cross-training on various functions

• Certification as a Pharmacy Technician
• 2 years of experience in hospital or residential treatment facility
• 3 years of health insurance claims experience or analytical experience
• Equivalent combination of education and experience may be considered
• Payment review or coding experience is a plus
• Demonstrated competency in claim review and experience with billing and claims forms
• In-depth knowledge of drugs and pharmaceuticals, including IV fluids and off-label medication uses
• Strong problem-solving skills and demonstrated initiative
• Ability to consistently meet productivity and quality standards with minimal support
• Capability to work in fast-paced, multi-tasking environment with changing priorities
• Effective oral and written communication skills with healthcare documentation familiarity
• General computer skills including Microsoft Office, Outlook, and Internet search

Demonstrates expertise in billing accuracy, health insurance claims analysis, and compliance with healthcare regulations. Proficient in drug administration knowledge and effective communication within healthcare documentation.

• Pharmacy Technician Certification
• Health Insurance Claims Experience
• Billing and Claims Forms Competency
• Drug Administration Knowledge
• Problem-Solving Skills

• Billing Accuracy Audits
• Claims Review
• Payment Review
• Coding Experience
• Drug Knowledge
• Healthcare Documentation
• Quality Standards Compliance
• Production Requirements Management
• Analytical Experience
• Multi-Tasking Capability

• Effective Communication Skills
• Initiative
• Flexibility
• Organizational Skills
• Problem-Solving Skills

• Pharmacy Technician Certification

• Healthcare Regulations
• Federal Compliance
• State Compliance
• Accreditation Standards
• IV Fluids Knowledge
• Off-Label Medication Uses

• Microsoft Office
• Outlook
• Internet Search